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Depression, Social Support, and Coping Styles among Pregnant Women after the Lushan Earthquake in Ya’an, China

Author

Listed:
  • Jianhua Ren
  • Xiaolian Jiang
  • Jianrong Yao
  • Xirong Li
  • Xinghui Liu
  • Meiche Pang
  • Chung Lim Vico Chiang

Abstract

Aim: The aim of this study is to assess the depression of pregnant women in the aftermath of an earthquake, and to identify the social support that they obtained, their coping styles and socio-demographic factors associated with depression. Methods: A total of 128 pregnant women from three hospitals in the epicenter area were recruited immediately after the Ya’an earthquake. Their depression was investigated using the Edinburgh Postnatal Depression Scale (EPDS) with a cutoff score of 14; the social support that they obtained was measured using the Social Support Questionnaire; and their coping styles were assessed using the Coping Styles Questionnaire. Results: Immediately after the earthquake, the incidence rate of depression in pregnant women was 35.2%, higher than that of the general pregnant population (7%-14%). The EPDS scores were significantly correlated with gestation age at the time of the earthquake, objective support, subjective support, use of support, negative coping style, and positive coping style. The regression analysis indicated that risk factors of prenatal depression include the number of children, relatives wounded, subjective support, and coping styles. A further analysis of the interaction between social support and two types of coping styles with depression showed that there was interaction effect between subjective social support and positive coping styles in relation to EPDS scores. There was an inverse relationship between low EPDS scores and positive coping styles and high social support, and vice versa. Conclusion: The timing of the occurrence of the earthquake may not necessarily affect the progress of the illness and recovery from depression, and psychological intervention could be conducted in the immediate aftermath after the earthquake. The impact of coping styles on prenatal depression appeared to be linked with social support. Helping pregnant women to adopt positive coping styles with good social support after a recent major earthquake, which is a stressor, may reduce their chances of developing prenatal depression.

Suggested Citation

  • Jianhua Ren & Xiaolian Jiang & Jianrong Yao & Xirong Li & Xinghui Liu & Meiche Pang & Chung Lim Vico Chiang, 2015. "Depression, Social Support, and Coping Styles among Pregnant Women after the Lushan Earthquake in Ya’an, China," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-19, August.
    • Handle: RePEc:plo:pone00:0135809
    DOI: 10.1371/journal.pone.0135809
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    References listed on IDEAS

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    1. Zhang, Yan & Kong, Fanchang & Wang, Lin & Chen, Hong & Gao, Xiao & Tan, Xiaohong & Chen, Han & Lv, Jianguo & Liu, Yong, 2010. "Mental health and coping styles of children and adolescent survivors one year after the 2008 Chinese earthquake," Children and Youth Services Review, Elsevier, vol. 32(10), pages 1403-1409, October.
    2. Yuhong Zheng & Fang Fan & Xianchen Liu & Lei Mo, 2012. "Life Events, Coping, and Posttraumatic Stress Symptoms among Chinese Adolescents Exposed to 2008 Wenchuan Earthquake, China," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-8, January.
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    4. Kim, Jaehoon & Kim, Sangsin, 2015. "2012년 국회법 개정의 효과 연구 [A Study on the Effect of the 2012 National Assembly Act Amendment]," KDI Research Monographs, Korea Development Institute (KDI), volume 127, number v:2015-03(k):y:2015:p:1-1.
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    1. Min Yu & Wenjie Gong & Beck Taylor & Yiyuan Cai & Dong (Roman) Xu, 2020. "Coping Styles in Pregnancy, Their Demographic and Psychological Influences, and Their Association with Postpartum Depression: A Longitudinal Study of Women in China," IJERPH, MDPI, vol. 17(10), pages 1-14, May.
    2. Gujun Pu & Alice Chang-Richards & Suzanne Wilkinson & Regan Potangaroa, 2021. "What makes a successful livelihood recovery? a study of China’s Lushan earthquake," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 105(3), pages 2543-2567, February.

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